Hope Clinics as you may be aware has been the pioneer in the field of open access GI Endoscopy in this region since 1991. We have won the appreciation of thousands of grateful patients and their referring doctors. Patient safety is given a premium with us and our record speaks for itself. With addition of therapeutic ERCP in 1998 we completed our armamentorium in the GI endoscopy unit. We placed our first Self expanding metal stents in esophagus in 1998 and in the bile duct in 1999.